Document Detail


Postpartum monitoring of retained placenta.Two cases of abnormally adherent placenta.
MedLine Citation:
PMID:  22731843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To save fertility, hysterectomy may be avoided with abnormal placental adherence by leaving the placenta in situ. Several reports support this strategy, but no reports are available on optimal follow-up strategies. We present two women with conservative treatment of placenta accreta and describe the prospective monitoring of the clinical course, placental regression, and recovery of the uterine anatomy using serial sonography, hysteroscopy and magnetic resonance imaging. There was no postpartum hemorrhage. Menstrual cyclicity resumed within 18 weeks. The human chorionic gonadotropin serum levels normalized within 10 weeks, whereas regression of placenta tissue was slow and continued up to nine months after delivery. In both cases placental remnants persisted; in one woman they were removed and uterine anatomy restored. She had a subsequent uneventful pregnancy afterwards. The presented systematic follow-up provides tools to monitor and treat other women in similar ways.
Authors:
Bas Torrenga; Judith A Huirne; Antoinette C Bolte; Jan Hein T M van Waesberghe; Johanna I P de Vries
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-07-24
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  92     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-22     Completed Date:  2013-06-04     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  472-5     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / administration & dosage*
Adult
Cesarean Section
Combined Modality Therapy
Embolization, Therapeutic / methods*
Female
Humans
Methotrexate / administration & dosage*
Placenta / abnormalities*,  pathology*
Placenta Accreta / blood,  therapy*
Postpartum Hemorrhage / prevention & control
Postpartum Period*
Pregnancy
Pregnancy Outcome
Tissue Adhesions / diagnosis,  therapy
Treatment Outcome
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; YL5FZ2Y5U1/Methotrexate
Comments/Corrections
Comment In:
Acta Obstet Gynecol Scand. 2014 Jul;93(7):720   [PMID:  24588544 ]

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